Mario Gagliardi, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025194 Issued in OH

Practice address

2700 Sunset Blvd
Steubenville, OH 43952-1158

Phone

(740) 264-6811

NPI assigned

Jun 17, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aquarian Dental LLC

  • General Practice Dentistry
  • Columbus, OH
  • NPI 1700698875
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821448176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SUNSET BLVD.",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-264-6811",
            "fax_number": "740-264-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SUNSET BLVD",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521158",
            "telephone_number": "740-264-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDI",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025194",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jean Frey
• Eugene Frye, CDCA
• Brittany Lynn Furbee, LPN
• Megan Michael Furbee, M.ED
• Mark Fye
• Stephanie Gaillas
• Bryanna Taylor Gallagher
• Taylor Elizabeth Gamron, FNP-BC
• Gar Med LTD
• Diosdado A Garcia, MD

• General Practice Dentistry in Steubenville, OH
• Providers in Steubenville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.